Please tell me your story...I want to know YOU! What brought you to me? What are your health and body goals?: *

Thank YOU!

xoxoxJaz

YOU DID IT!

​You are here because you're ready to

​CHANGE YOUR LIFE...

You've taken the first step by clicking on my page! I'm so happy that you've decided to make this change with me beside you :) I know we will become fast friends...(if we aren't already). We will be helping EACH OTHER become healthy so let me take 5 minutes of your time to tell you a little bit about myself and my goals...and then I'd love to learn about you and your goals!!

CLICK MY PICTURE TO LEARN ABOUT ME!!​

Instagram Name *

What do YOU want? *

I'm sick of feeling yucky, but I'd love some information before I commit.

I am READY to commit to changing my health and body image NOW...let's do this!!

I want all of the above BUT I want discounted products and to make MONEY doing it! I want to COACH!

Facebook Name: *

Phone

So you want to Coach! That's Awesome! What kind of coach do you want to be?

Discount Coach...I'm not interested in coaching people, but I want the 25% discount on all products.

Limited Coach...I want the discount and I will coach friends or family, but only if they approach me

Part Time Coach...I want to commit to the program so that I can be an example for others and help them achieve their goals! I'm willing to commit a little bit of time everyday promoting my progress and teaching people how I achieved my goals! Plus I want to make money!

ALL IN Coach...Same as Part Time Coach but I will go above and beyond to make this happen!!! I'm super committed!

OTHER

Email *

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**If you don't have time to read about me right now Please still fill out the questionnaire...But come back and read my story later...It's super important that we get to know each other!!